Jeanne Shaheen on Health Care

Democrat Sr Senator; previously Governor

Ebola: No fear-mongering; maybe a travel ban

The latest efforts to contain and prevent the spread of the deadly Ebola virus in the United States also became a hot topic as Brown said he wants a travel ban to West Africa, while
Shaheen said reiterated an earlier comment that she would consider one if it would make a difference. She accused her rival of fear mongering on the Ebola virus, border security and the threat of terrorism posed by ISIS.

AdWatch: Falsely promised all people could keep insurance

A new Americans for Prosperity 30-second television spot targeting Sen. Jeanne Shaheen for voting for the Affordable Care Act begins airing on WMUR-TV on Jan. 2. The ad buy is around $200,000, and offers similar themes and quotes from news stories that
an ad from Ending Spending raised last month.

The narration in the ad points to Shaheen saying, from the Senate floor, that people would be able to keep their insurance if the law was approved, a statement that was deemed the "Lie of the Year" by
PolitiFact.com. The narration also quotes from new stories noting that many N.H. residents will have to drive long distances for care due to the only out-of-group insurance carrier in the state, Anthem, eliminating coverage from half the hospitals in the
state.

Shaheen's campaign launched a fundraising effort, asking supporters to help her "respond right away" to the ad buy: "The Tea Party billionaires spent over $8 million attacking N.H. in 2012 and could spend even more this time."

No apologies for helping people get affordable insurance

[At a N.H. GOP gathering] Brown tried to focus on Sen. Shaheen and linked her to what he said were fundamental problems with President Obama's health care plan. "Up until it blew up, she was still one of the No. 1 supporters," he said.

"She makes no
apologies for trying to help people get affordable health insurance," Shaheen's husband said. And she has called for the White House to extend the enrollment period, saying citizens should not be penalized for the government's botched sign-up process.

Mr. Shaheen also noted that Brown might face questions about health care himself. As a state senator in 2006, he supported Gov. Mitt Romney's health care overhaul in Massachusetts, which was the model for the Obama plan.
Brown later argued that the two plans were very different, but enough similarities exist that New Hampshire's conservative voters could question whether he shares their values.

AdWatch: Targeted by RNC robocalls for support of ObamaCare

Sen. Jeanne Shaheen is among 11 Democrats targeted by the Republican National Committee for their support of ObamaCare. The RNC is using robocalls and posting on Facebook to urge people to call their representatives and ask "why they supported
President Obama's lie that people could keep their healthcare plans under ObamaCare."

"President Obama and the Democrats said you could keep your healthcare plan under ObamaCare. Now we know [SENATOR] actually VOTED to make it more
difficult. Call [SENATOR] at (XXX)-XXX-XXX & ask why [he/she] lied."

The robocalls are a response to Democrats launching the "GOP Shutdown Watch" campaign, highlighting Republican senate candidates who supported the partial federal government shutdown.

We need a universal health care system to cover everyone

Health care costs are spiraling out of control and middle class families are struggling to keep pace. Jeanne Shaheen believes we need a universal health care system to cover every single American. She will lead the fight to reduce health care costs
by increasing access to preventive care; moving to electronic medical recordkeeping; and taking on the big drug companies to allow the importation of safe drugs from Canada.

Voted NO on the Ryan Budget: Medicare choice, tax & spending cuts.

Proponent's Arguments for voting Yes:

[Sen. DeMint, R-SC]: The Democrats have Medicare on a course of bankruptcy. Republicans are trying to save Medicare & make sure there are options for seniors in the future. Medicare will not be there 5 or 10 years from now. Doctors will not see Medicare patients at the rate [Congress will] pay.

[Sen. Ayotte, R-NH]: We have 3 choices when it comes to addressing rising health care costs in Medicare. We can do nothing & watch the program go bankrupt in 2024. We can go forward with the President's proposal to ration care through an unelected board of 15 bureaucrats. Or we can show real leadership & strengthen the program to make it solvent for current beneficiaries, and allow future beneficiaries to make choices.

Opponent's Arguments for voting No:

[Sen. Conrad, D-ND]: In the House Republican budget plan, the first thing they do is cut $4 trillion in revenue over the next 10 years. For the wealthiest among us, they
give them an additional $1 trillion in tax reductions. To offset these massive new tax cuts, they have decided to shred the social safety net. They have decided to shred Medicare. They have decided to shred program after program so they can give more tax cuts to those who are the wealthiest among us.

[Sen. Merkley, D-TK]: The Republicans chose to end Medicare as we know it. The Republican plan reopens the doughnut hole. That is the hole into which seniors fall when, after they have some assistance with the first drugs they need, they get no assistance until they reach a catastrophic level. It is in that hole that seniors have had their finances devastated. We fixed it. Republicans want to unfix it and throw seniors back into the abyss. Then, instead of guaranteeing Medicare coverage for a fixed set of benefits for every senior--as Medicare does now--the Republican plan gives seniors a coupon and says: Good luck. Go buy your insurance. If the insurance goes up, too bad.
Status: Failed 40-57

Voted YES on regulating tobacco as a drug.

Congressional Summary:Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to provide for the regulation of tobacco products by the Secretary of Health and Human Services through the Food and Drug Administration (FDA). Defines a tobacco product as any product made or derived from tobacco that is intended for human consumption. Excludes from FDA authority the tobacco leaf and tobacco farms.

Opponent's argument to vote No:Rep. HEATH SHULER (D, NC-11): Putting a dangerous, overworked FDA in charge of tobacco is a threat to public safety. Last year, the FDA commissioner testified that he had serious concerns that this bill could undermine the public health role of the FDA. And the FDA Science Board said the FDA's inability to keep up with scientific advancements means that Americans' lives will be at risk.

Proponent's argument to vote Yes:
Rep. HENRY WAXMAN (D, CA-30): The bill before us, the Waxman-Platts bill, has been carefully crafted over more than a decade, in close consultation with the public health community. It's been endorsed by over 1,000 different public health, scientific, medical, faith, and community organizations.

Sen. HARRY REID (D, NV): Yesterday, 3,500 children who had never smoked before tried their first cigarette. For some, it will also be their last cigarette but certainly not all. If you think 3,500 is a scary number, how about 3.5 million. That is a pretty scary number. That is how many American high school kids smoke--3.5 million. Nearly all of them aren't old enough to buy cigarettes. It means we have as many boys and girls smoking as are participating in athletics in high schools. We have as many as are playing football, basketball, track and field, and baseball combined.

Voted YES on expanding the Children's Health Insurance Program.

Reauthorizes State Children's Health Insurance Program (SCHIP) through FY2013 at increased levels.

Gives states the option to cover targeted low-income pregnant women

Phases out coverage for nonpregnant childless adults.

Proponent's argument to vote Yes:

Rep. FRANK PALLONE (D, NJ-6): In the last Congress, we passed legislation that enjoyed bipartisan support as well as the support of the American people. Unfortunately, it did not enjoy the support of the President, who vetoed our bill twice, and went on to proclaim that uninsured children can simply go to the emergency room to have their medical needs met. As the Nation moves deeper into a recession and unemployment rates continue to rise, millions of Americans are joining the ranks of the uninsured, many of whom are children. We can't delay. We must enact this legislation now.

Opponent's argument to vote No:Rep. ROY BLUNT (R, MI-7):
This bill doesn't require the States to meet any kind of threshold standard that would ensure that States were doing everything they could to find kids who needed insurance before they begin to spend money to find kids who may not have the same need. Under the bill several thousands of American families would be poor enough to qualify for SCHIP and have the government pay for their health care, but they'd be rich enough to still be required to pay the alternative minimum tax. The bill changes welfare participation laws by eliminating the 5-year waiting period for legal immigrants to lawfully reside in the country before they can participate in this program. In the final bill, we assume that 65% of the children receiving the benefit wouldn't get the benefit anymore. It seems to me this bill needs more work, would have benefited from a committee hearing. It doesn't prioritize poor kids to ensure that they get health care first.

No federal pre-emption of employee health plan regulation.

Shaheen adopted the National Governors Association position paper:

The Issue

In 1999, 42.6 million Americans did not have health insurance. All states have been fervently working to reduce the number of uninsured Americans, to make health insurance more affordable and secure, and to provide quality health care at a reasonable cost to the uninsured. However, the federal government has also expressed an interest in this issue. Any action taken at the federal level could have serious implications for traditional state authority to regulate the health insurance industry and protect consumers.

NGA’s Position

Although the Governors are extremely sensitive to the concerns of large multi-state employers, the fact remains that the complete federal preemption of state laws relating to employee health plans in the Employment Retirement Income Security Act (ERISA) is the greatest single barrier to many state reform and patient protection initiatives.

The Governors support efforts designed to enable small employers to join together to participate more effectively in the health insurance market. In fact, Governors have taken the lead in facilitating the development of such partnerships and alliances. However, these partnerships must be carefully structured and regulated by state agencies in order to protect consumers and small businesses from fraud and abuse and underinsurance. NGA opposes attempts to expand federal authority under ERISA. The Governors have identified the prevention of such federal legislation in the 107th Congress as a top legislative priority.

States have the primary responsibility for health insurance regulation. Across the nation, Governors are working to protect consumers and patients and to properly regulate the complicated health insurance industry.

Disclose payments from manufacturers to physicians.

Shaheen signed Physician Payments Sunshine Act

An amendment to provide for transparency in the relationship between physicians and applicable manufacturers with respect to payments and other transfers of value and physician ownership or investment interests in manufacturers.

Requires any manufacturer of a covered drug, device, biological, or medical supply that makes a payment or another transfer of value to a physician, a physician medical practice, or a physician group practice to report annually, in electronic form, specified information on such transactions to the Secretary of Health and Human Services.

Requires any such manufacturer, or related group purchasing organization, also to report annually to the Secretary, in electronic form, certain information regarding any ownership or investment interest (other than in a publicly traded security and mutual fund) held by a physician (or an immediate family member) in the manufacturer or group purchasing organization during the preceding year.

Prescribes administrative penalties for failure to comply with these requirements.

Requires report submission procedures to ensure public availability of required information on a website.

Expedited licensing for biosimilar products.

Amends the Public Health Service Act to provide for the licensing of biosimilar and interchangeable biological products.

Allows any person to file an abbreviated biological product application with the Secretary of Health and Human Services. Requires such applications to include information demonstrating a high degree of similarity or interchangeability between the biological product and the licensed biological product (reference product).

Requires the Secretary to:

approve an application and issue a license for a biosimilar product unless the Secretary finds and informs the applicant that the information in the application fails to demonstrate biosimilarity between the biological product and the reference product or the safety, purity, and potency of the biological product; and

Allows an applicant a determination as to the interchangeability of a product and its reference product based on whether a product can be expected to produce the same clinical result as the reference product in any given patient. Grants market exclusivity to any biological product that is determined to be interchangeable for a specified period.

Protect state tobacco settlement funds from federal seizure.

Shaheen adopted a letter to Congressional leaders from 53 Governors:

As you know, preserving and protecting the state tobacco settlement funds is the nation’s Governors’ highest priority. We strongly urge you to reach final agreement and pass the conference report on the emergency supplemental appropriations bill soon, and to retain the Senate provision that protects our settlement funds from federal seizure.

Many of our state legislatures are currently in session, and some have already completed work on their budgets. Therefore, it is critical that conferees reach agreement quickly on this issue. Governors are unified in their commitment to ensuring that the funds remain in the states and that there be no restrictions on states’ ability to tailor spending to meet the needs of their citizens.

We offer our strongest support for conferees to recede to the Senate version of the bill containing the Hutchison/Graham bipartisan tobacco recoupment protection legislation.